Premium
Using spaced retrieval and Montessori‐based activities in improving eating ability for residents with dementia
Author(s) -
Lin LiChan,
Huang YaJu,
Su SuGen,
Watson Roger,
Tsai Belina WJ.,
Wu ShiaoChi
Publication year - 2010
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2433
Subject(s) - dementia , intervention (counseling) , randomized controlled trial , gerontology , psychology , medicine , confounding , physical therapy , psychiatry , disease
Objectives To construct a training protocol for spaced retrieval (SR) and to investigate the effectiveness of SR and Montessori‐based activities in decreasing eating difficulty in older residents with dementia. Methods A single evaluator, blind, and randomized control trial was used. Eighty‐five residents with dementia were chosen from three special care units for residents with dementia in long‐term care facilities in Taiwan. To avoid any confounding of subjects, the three institutions were randomized into three groups: spaced retrieval, Montessori‐based activities, and a control group. The invention consisted of three 30–40 min sessions per week, for 8 weeks. Results After receiving the intervention, the Edinburgh Feeding Evaluation in Dementia (EdFED) scores and assisted feeding scores for the SR and Montessori‐based activity groups were significantly lower than that of the control group. However, the frequencies of physical assistance and verbal assistance for the Montessori‐based activity group after intervention were significantly higher than that of the control group, which suggests that residents who received Montessori‐based activity need more physical and verbal assistance during mealtimes. In terms of the effects of nutritional status after intervention, Mini‐Nutritional Assessment (MNA) in the SR group was significantly higher than that of the control group. Conclusion This study confirms the efficacy of SR and Montessori‐based activities for eating difficulty and eating ability. A longitudinal study to follow the long‐term effects of SR and Montessori‐based activities on eating ability and nutritional status is recommended. Copyright © 2010 John Wiley & Sons, Ltd.